中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
16期
119-123
,共5页
老年%脂肪肝%危险因素%社区干预
老年%脂肪肝%危險因素%社區榦預
노년%지방간%위험인소%사구간예
Geriatric%Fatty liver%Risk factors%Community intervention
目的：研究老年脂肪肝患者相关危险因素及社区干预。方法通过回顾性分析2012年某社区663名老年人脂肪肝及相关危险因素体检结果，了解社区老年人脂肪肝与相关危险因素的关系。结果社区老年人脂肪肝患病率为49.02%(325/663)，其相关危险因素为超重、肥胖、高血压、高血糖、高血脂，除胆固醇外与非脂肪肝组比较，差异均有高度统计学意义(P<0.01)。在性别上，男性脂肪肝患病率为60.1%(191/318)，高于女性[38.8%(134/345)]，差异有高度统计学意义(P<0.01)。在年龄方面，随着年龄增长，患病率降低。结论社区老年人脂肪肝患病率较高，脂肪肝组危险因素高于非脂肪肝组，且有性别、年龄差异。脂肪肝危险因素与行为生活方式有关，是可以改变的危险因素。全科医师针对危险因素发挥其在地理位置、管理方法及熟悉程度方面的优势，使用低成本高效的方法进行社区干预。
目的：研究老年脂肪肝患者相關危險因素及社區榦預。方法通過迴顧性分析2012年某社區663名老年人脂肪肝及相關危險因素體檢結果，瞭解社區老年人脂肪肝與相關危險因素的關繫。結果社區老年人脂肪肝患病率為49.02%(325/663)，其相關危險因素為超重、肥胖、高血壓、高血糖、高血脂，除膽固醇外與非脂肪肝組比較，差異均有高度統計學意義(P<0.01)。在性彆上，男性脂肪肝患病率為60.1%(191/318)，高于女性[38.8%(134/345)]，差異有高度統計學意義(P<0.01)。在年齡方麵，隨著年齡增長，患病率降低。結論社區老年人脂肪肝患病率較高，脂肪肝組危險因素高于非脂肪肝組，且有性彆、年齡差異。脂肪肝危險因素與行為生活方式有關，是可以改變的危險因素。全科醫師針對危險因素髮揮其在地理位置、管理方法及熟悉程度方麵的優勢，使用低成本高效的方法進行社區榦預。
목적：연구노년지방간환자상관위험인소급사구간예。방법통과회고성분석2012년모사구663명노년인지방간급상관위험인소체검결과，료해사구노년인지방간여상관위험인소적관계。결과사구노년인지방간환병솔위49.02%(325/663)，기상관위험인소위초중、비반、고혈압、고혈당、고혈지，제담고순외여비지방간조비교，차이균유고도통계학의의(P<0.01)。재성별상，남성지방간환병솔위60.1%(191/318)，고우녀성[38.8%(134/345)]，차이유고도통계학의의(P<0.01)。재년령방면，수착년령증장，환병솔강저。결론사구노년인지방간환병솔교고，지방간조위험인소고우비지방간조，차유성별、년령차이。지방간위험인소여행위생활방식유관，시가이개변적위험인소。전과의사침대위험인소발휘기재지리위치、관리방법급숙실정도방면적우세，사용저성본고효적방법진행사구간예。
Objective To investigate the risk factors related to fatty liver in elderly patients and its community inter-vention. Methods The physical examination results of fatty liver and related risk factors among 663 community elderly people in 2012 were analyzed retrospectively, in order to understand the relationship between fatty liver and related risk factors. Results The morbidity of fatty liver in elderly people was 49.02%(325/663). Compared with non-fatty liver group, besides cholesterol, the risk factors such as overweight, obesity, hypertension, high blood sugar, hyperlipemia (triglycerides) in fatty liver group were statistically significant different (P<0.01). The morbidity of fatty liver in male was 60.1%(191/318), which was higher than female [38.8%(134/345)], with statistically significant difference (P<0.01). The morbidity of fatty liver increased with age. Conclusion The morbidity of fatty liver is high in community elderly people. Risk factors in fatty liver group are higher than non-fatty liver group and have difference in terms of gender and age. All these risk factors relate to life style, and they are changeable. Aim at its risk factor, general practitioners should play their advantages such as convenient location, efficient management methods and familiarity with patients, using low-cost and efficient method to conduct the community intervention.
